Active NPI
Vongi Aletha Ellison, P.T.
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1982378550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16087
- Practice address
- 3160 Gracefield Rd
Silver Spring, MD 20904-1986 - Phone
- (301) 572-1300
- NPI assigned
- Aug 5, 2021
- Last updated
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16087 | MD | Primary |
Addresses
Primary practice location
3160 Gracefield Rd
Silver Spring, MD 20904-1986
Mailing address
4520 Elmwood Rd
Beltsville, MD 20705-2618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16087 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1982378550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 ELMWOOD RD",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 GRACEFIELD RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041986",
"telephone_number": "301-572-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "VONGI",
"middle_name": "ALETHA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.